Organization provider

THE DULUTH CLINIC, LTD.

Community/Retail Pharmacy Mail Order Pharmacy Medicare enrolled

THE DULUTH CLINIC, LTD. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1063881399, based in Superior, WI. The organization lists 2 taxonomy classifications, with Community/Retail Pharmacy recorded as primary.

Getting there

The practice address on file is 204 BELKNAP ST STE 300, Superior, WI 54880. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

204 BELKNAP ST STE 300, Superior, WI 54880 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
9349-42 WI Community/Retail Pharmacy primary
265074 MN Community/Retail Pharmacy
PHAR1317 ND Community/Retail Pharmacy
4787 IA Community/Retail Pharmacy
46322MS ID Community/Retail Pharmacy
PH00004437 NM Community/Retail Pharmacy
NR-51303 WY Community/Retail Pharmacy
Y007116 AZ Community/Retail Pharmacy
PH30743 FL Community/Retail Pharmacy
400-1721 SD Community/Retail Pharmacy
9349-42 WI Mail Order Pharmacy

Licences are recorded in 10 states: WI, MN, ND, IA, ID, NM, WY, AZ, FL, SD. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Mass Immunization (roster Biller Only)
PAC ID
2567374283

Enrolled in Medicare 2 times, across 1 state:

StateEnrollment IDProvider type
Wisconsin O20151230000109 Part B Supplier - Mass Immunization (roster Biller Only)
Wisconsin O20160728000392 Dme Supplier - Pharmacy

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Mass Immunization (roster Biller Only). There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 10 states

This provider holds licences in 10 states: Arizona, Florida, Iowa, Idaho, Minnesota, North Dakota, New Mexico, South Dakota, Wisconsin and Wyoming. The practice address on file is in Superior, WI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AZ Arizona
Licence
Y007116
Specialty
Community/Retail Pharmacy
Verify with the AZ board →
FL Florida
Licence
PH30743
Specialty
Community/Retail Pharmacy
Verify with the FL board →
IA Iowa
Licence
4787
Specialty
Community/Retail Pharmacy
Verify with the IA board →
ID Idaho
Licence
46322MS
Specialty
Community/Retail Pharmacy
Verify with the ID board →
MN Minnesota
Licence
265074
Specialty
Community/Retail Pharmacy
Verify with the MN board →
ND North Dakota
Licence
PHAR1317
Specialty
Community/Retail Pharmacy
Verify with the ND board →
NM New Mexico
Licence
PH00004437
Specialty
Community/Retail Pharmacy
Verify with the NM board →
SD South Dakota
Licence
400-1721
Specialty
Community/Retail Pharmacy
Verify with the SD board →
WI Wisconsin practice address
Licence
9349-42
Specialty
Community/Retail Pharmacy
Verify with the WI board →
WY Wyoming
Licence
NR-51303
Specialty
Community/Retail Pharmacy
Verify with the WY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Community/Retail Pharmacy covers

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. NUCC Health Care Provider Taxonomy, code 3336C0003X
Suppliers Pharmacy Community/Retail Pharmacy

All registered taxonomy codes

This provider registers 11 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy 9349-42 WI primary
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy 265074 MN
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy PHAR1317 ND
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy 4787 IA
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy 46322MS ID
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy PH00004437 NM
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy NR-51303 WY
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy Y007116 AZ
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy PH30743 FL
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy 400-1721 SD
3336M0002X Mail Order Pharmacy Mail Order Pharmacy 9349-42 WI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1063881399 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateSep 16, 2015
Last updatedFeb 29, 2024
StatusActive
Practice address 204 BELKNAP ST STE 300
Superior, WI 54880
(715) 817-7146
Fax (715) 817-7144
Other identifiers 100054637 · Medicaid (WI)
1063881399 · Medicaid (MN)
This record was updated on Feb 29, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1063881399 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 8 8 1 3 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 7 8 2 3 9

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063881399?
NPI 1063881399 is the National Provider Identifier assigned to THE DULUTH CLINIC, LTD. in Superior, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Community/Retail Pharmacy cover?
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional…
How do I contact THE DULUTH CLINIC, LTD.?
The phone number on file with NPPES is (715) 817-7146, last updated Feb 29, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does THE DULUTH CLINIC, LTD. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063881399 a valid number?
Yes. 1063881399 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.